Individual provider Active NPI

Shaula Begay, MC, LPCC, NCC

  • Mental Health Counselor
  • Farmington, NM
National Provider Identifier
1720337884
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0175971 Issued in NM
Practice address
3300 N Butler Ave Ste 202
Farmington, NM 87401-2362
Phone
(505) 497-0946
NPI assigned
Sep 5, 2012
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH0175971 NM Primary
Mental Health Counselor 101YM0800X 0150281 NM

Addresses

Primary practice location

3300 N Butler Ave Ste 202
Farmington, NM 87401-2362

Mailing address

PO Box 1996
Farmington, NM 87499-1996
Phone (505) 497-0946

Other identifiers 1

IdentifierTypeStateIssuer
14833310MedicaidNM

Other names 1

  • Shaula Palmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116001527 NM Practitioner - Mental Health Counselor 3870021983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0150281NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Little Aspen Counseling, LLC Mental Health CurrentSince Aug 22, 2021 Accepting new patients
Desert View, Inc. Mental Health PastSince Sep 1, 2019 Accepting new patients

Locations

3300 N Butler Ave
Ste 202
Farmington, NM 87401
Phone (505) 497-0946

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1720337884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1996",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874991996",
            "telephone_number": "505-497-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N BUTLER AVE STE 202",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012362",
            "telephone_number": "505-497-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGAY",
        "first_name": "SHAULA",
        "credential": "MC, LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0175971",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0150281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14833310",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAULA",
            "last_name": "PALMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.